[Laparoscopic fundoplication. The surgical technique]

The antireflux plastic procedures have a broad spectrum of its variations. The best results have been recorded with circular procedures with a good mobilization of the distal oesophagus and cardia, with or without interruption of the vasa brevia. The hiatal suture is always conducted. The rim (cuff) should be short, 25-30 mm, applied loosely around the mobilized abdominal oesophagus with an inserted gastric tube (at least 12 mm). The surgeon must consider any peroperative fingdings. All his movements, location and application of each stitch would decide about the procedure's successful outcome.